Breast Enlargement Surgery in Seattle

Mammoplasty brings together several procedures: augmentation (implants to add volume), reduction (removal of surplus tissue and skin), mastopexy (lift for sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The most suitable method is selected individually, guided by your wishes and the surgeon's advice.

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Complications are uncommon if every recommendation is followed, but possible ones include hematoma or seroma, wound infection, lower or higher nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The effect of mammoplasty lasts for years: about 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Duration depends on weight, pregnancy, skin aging and gravity. Supportive underwear and a stable weight help the result last.

Whether you can breastfeed after mammoplasty depends on the kind of surgery. After augmentation via an under-breast or armpit incision with the implant placed under the muscle, lactation is usually preserved, since the glandular tissue is not damaged. A lift or reduction carries a higher risk because ducts may be cut. Talk this over with your surgeon beforehand.

Implant choice is based on material (silicone gives the most natural appearance, saline is used more rarely), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon will pick the best one for your anatomy and goals.

Under general anesthesia the patient feels nothing during the operation. Some moderate discomfort can appear in the first 1–3 days and is controlled with painkillers. By day 5–7 pain lessens markedly, and discomfort ends by weeks 2–3. Tell your doctor right away if the pain is severe.

Work (without physical strain) is possible after 7–14 days. Gentle walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength workouts after 3 months. The pool and sea after 4–6 weeks. Compression garments are needed for 4–6 weeks. Exact dates depend on how your recovery goes.

Mammoplasty has not been scientifically shown to increase the risk of breast cancer, and implants do not cause it. Keep up regular screening after surgery (self-exams, mammography and ultrasound) and always mention your implants to the doctor examining you.

Mammoplasty is possible after a C-section once your body has completely recovered. Leave at least 6–12 months after childbirth and after breastfeeding has ended. Surgery requires a prior consultation and check-up by the surgeon.

There are scars after mammoplasty, though a skilled surgeon keeps them minimal. The incisions go in discreet areas, such as under the breast, around the areola or in the armpit. Early on the scars are reddish, but over 6–12 months they fade and are almost unnoticeable.

Some slight asymmetry during the first weeks after surgery is expected, caused by swelling and uneven healing. Should a difference in shape or size persist after 3–6 months, visit your surgeon to be examined and find out why.

After mammoplasty, the breasts and nipples can temporarily lose or gain sensitivity. Irritation of the nerve endings is responsible. Most often sensitivity returns within 3–12 months. If there is no improvement a year later, see your surgeon.

Hormonal drugs (contraceptives, hormone replacement therapy) have no direct effect on implants, but they can cause swelling or changes in breast tissue volume that temporarily alter appearance. Always tell your surgeon about such medications before surgery.